Jurriaan Bolander, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1005424 Issued in DC

Practice address

605 Cartwell Dr
Stafford, VA 22554-7374

Phone

(571) 438-3133

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeran Health Care Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stafford, VA
  • NPI 1457177370
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1831905215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CARTWELL DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547374",
            "telephone_number": "571-438-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CARTWELL DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547374",
            "telephone_number": "571-438-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Cartwell Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225547374",
            "country_code": "US",
            "telephone_number": "571-438-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "JURRIAAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kate Blunkall
• Maclean Boadu
• Mavis Barbara Sarbeng Boama
• Boari Residential Services LLC
• Erika Boka, PA-C
• Amber Bolen
• Kyle Bond
• Toni Rayana Bond
• Marie Bonheur
• Cala Booth

• Licensed Practical Nurse in Stafford, VA
• Providers in Stafford, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.